Individual
DR. MANISHA KIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8423 HOLLY RD, GRAND BLANC, MI 48439-2487
(810) 579-0466
(810) 679-0470
Mailing address
8423 HOLLY RD, GRAND BLANC, MI 48439-2487
(810) 579-0466
(810) 679-0470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101015952
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4626797
—
MI
05
—
5193572
—
MI
Enumeration date
08/30/2006
Last updated
01/19/2012
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